Section 26.1-47-09 - Air ambulances1. A health benefit plan may not be issued in this state unless the plan provides the reimbursement rate for out-of-network air ambulance provider services is equal to the average of the insurer's in-network rates for air ambulance providers in the state.2. An insurer may not use the average of an insurer's in-network rates for air ambulance providers in the state in order to decrease current or future contractual rates between an insurer and an air ambulance provider.3. For purposes of settling a claim made by the insured for air ambulance services, a payment made by an insurer under the plan in compliance with this section is deemed to be the same as an in-network payment and is considered a full and final payment by the insured for out-of-network air ambulance services billed to the insured.4. This section does not apply to a policy or certificate of insurance, whether written on a group or individual basis, which provides coverage limited to:a. A specified disease, a specified accident, or accident-only coverage;f. Long-term care insurance as defined by chapter 26.1-45;g. Vision care or any other limited supplemental benefit;h. A Medicare supplement policy of insurance, as defined by the commissioner by rule or coverage under a plan through Medicare;j. The federal employees health benefits program and any coverage issued as a supplement to that coverage;k. Coverage issued as supplemental to liability insurance, workers' compensation, or similar insurance; orl. Automobile medical payment insurance.Added by S.L. 2017 , ch. 194( SB 2231 ), § 6, eff. 1/1/2018.